Chapter 3: Collective Entrepreneurship and the Development of Private Clinics in Geneva, 1860–2020

The growth of the healthcare industry since the middle of the nineteenth century has offered medical doctors a broad range of opportunities to develop their private practice. However, a major challenge was accessing the new medical technology at the core of this growth, as operation rooms, X-ray machines, laboratories and sterilization equipment were mostly centred in hospitals. Based on the case of Geneva, Switzerland, this chapter discusses the various strategies adopted by medical doctors to benefit from hospital infrastructure for their work. It demonstrates that collective entrepreneurship emerged at the end of the nineteenth century, when groups of doctors started to open collective clinics in response to the impossibility of using the infrastructure of the local public hospital linked to the University of Geneva. This heyday of collective private clinics lasted until the 1990s when listed companies and private investors took over and reorganized these private healthcare organizations.